| NPI | 1114642576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17962) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |