| NPI | 1073303905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24843) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: FL 22-562) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |