| NPI | 1194422535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7313-125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 144-36) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |