| NPI | 1114464195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11802-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-22142) |
| 221700000X Art Therapist (Licence: 19-064) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2025-08-04 |