| NPI | 1023514882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC12081) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC299) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-04-09 |