| NPI | 1114522315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY 289969) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 251515) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-01-25 |