| NPI | 1083234082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: FL 17-464) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL 17-464) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH17973) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2025-10-21 |