| NPI | 1194288910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0019537) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 168256) |
| 221700000X Art Therapist (Licence: CO LPC.0019537) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-09-19 |