| NPI | 1205466299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0191231) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NM CAT0188151) |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2020-08-29 |