| NPI | 1063934792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC5286) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 14-210) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-05-11 |