| NPI | 1285104281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A16280) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 02261-1) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2022-01-12 |