NPI | 1033700273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20394) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NY LCAT-002284) |
Enumeration Date | 2021-01-31 |
Last Update Date | 2025-08-21 |