| NPI | 1275395592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87785) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: TX 21-471) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |