| NPI | 1023227568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC-6909) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC-5192) | |
| 101YM0800X Counselor, Mental Health | |
| 221700000X Art Therapist | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-08-29 |