| 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 |