| NPI | 1285301606 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL6198) |
| Additional Taxonomies | 101200000X Drama Therapist |
| 221700000X Art Therapist | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2025-02-12 |