| NPI | 1245585637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 289605) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 282474) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2024-03-20 |