| NPI | 1003653445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY 277306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 277306) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-08-28 |