| NPI | 1174017735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19238) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 11-250) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-08-15 |