| NPI | 1013508530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH23779) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2025-09-23 |