| NPI | 1295294874 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81143) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH61454456) | 
| 221700000X Art Therapist (Licence: 18-535) | |
| Enumeration Date | 2019-03-13 | 
| Last Update Date | 2023-09-29 |