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 |