| NPI | 1114553153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9070) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MA 18-269) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-03-22 |