| NPI | 1053047449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018720) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CO ATR.20-436) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-03-16 |