| NPI | 1215450614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74997) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74997) |
| 221700000X Art Therapist (Licence: TX 74997) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2023-01-23 |