| NPI | 1063163277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81607) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: TX 17-298) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-05-13 |