| NPI | 1144814153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13930) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24779) |
| 221700000X Art Therapist (Licence: 17-185) | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-03-06 |