| NPI | 1205616364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86522) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 21-270) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |