NPI | 1164905675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019091) |
Additional Taxonomies | 221700000X Art Therapist (Licence: MI 20-417) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2021-03-12 |