| NPI | 1174065627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 248448) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 248448) |
| 221700000X Art Therapist (Licence: KY 260363) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2024-01-26 |