| NPI | 1295447597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.017809) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |