| NPI | 1295475499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61283254) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18069) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2023-03-21 |