| NPI | 1306201751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 5785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 221700000X Art Therapist | |
| 261QP2400X Clinic/Center, Prison Health | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2021-08-03 |