| NPI | 1033734488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 82635) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82635) |
| 221700000X Art Therapist | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2022-03-01 |