| 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 |