| NPI | 1164156642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 278367) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 278367) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |