| NPI | 1083261127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: OR 21-241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8644) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2025-05-21 |