| NPI | 1073282299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 006241) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CT 53) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-04-17 |