| NPI | 1164902508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 46.007384) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CT ART.000019) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2025-08-18 |