| NPI | 1255291779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0832) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NM CTB-2025-0810) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-19 |