| NPI | 1255040028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS 04013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 04013) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 01061-T) | |
| 221700000X Art Therapist | |
| 225800000X Recreation Therapist | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |