NPI | 1164658456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009975) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000469-1) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2023-07-24 |