| NPI | 1114400694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6340-125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 15-361) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-04-26 |