| NPI | 1013517689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-2182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-9991) |
| 221700000X Art Therapist | |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2024-04-04 |