NPI | 1174946685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 221700000X Art Therapist (Licence: NM CAT0197131) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0161051) |
101YM0800X Counselor, Mental Health (Licence: NM CCMH1097121) | |
101YP2500X Counselor, Professional (Licence: CCMH0197121) | |
Enumeration Date | 2014-02-04 |
Last Update Date | 2023-11-02 |