| NPI | 1215417159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: ATC279) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LC11070) |
| 101YP2500X Counselor Professional (Licence: MD LGP9357) | |
| 221700000X Art Therapist (Licence: MD ATG233) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-08-15 |