| NPI | 1104517481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: PRE-LICENSED) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PRELICENSED) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |