| NPI | 1225699051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5262) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 3893) |
| 221700000X Art Therapist (Licence: CT 19-352) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-12-15 |