| 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 |