| NPI | 1093220261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 3628) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-036) |
| 101YM0800X Counselor, Mental Health (Licence: CA 3628) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2022-10-17 |