| NPI | 1063618809 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10748) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0600138) | 
| 101YP2500X Counselor, Professional (Licence: OH E.0600138) | |
| 221700000X Art Therapist (Licence: NC 08-135) | |
| Enumeration Date | 2007-06-26 | 
| Last Update Date | 2025-01-02 |