| NPI | 1114672573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 003759) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002133) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |