| NPI | 1023881364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10929) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 10-114) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-10-16 |