| NPI | 1083190557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003238) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CT 15) |
| 101YM0800X Counselor, Mental Health (Licence: CT 003238) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-01-30 |