| NPI | 1114571932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 114165) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 114165) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-11-06 |