| NPI | 1275278483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 171400000X Health & Wellness Coach | |
| 221700000X Art Therapist | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |