| NPI | 1174013791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 3200) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002376) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-02-28 |