| NPI | 1043955628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 669) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC036) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |