| NPI | 1174076541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401015419) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401015419) |
| 221700000X Art Therapist | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-03-03 |