| NPI | 1154104057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 016046) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 22-251) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-11-13 |