| NPI | 1013674407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87854) |
| Additional Taxonomies | 221700000X Art Therapist |
| 101YP2500X Counselor, Professional (Licence: IL 180014133) | |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2024-12-16 |