| NPI | 1114516549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC7184) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014012) |
| 221700000X Art Therapist | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-04-08 |