| NPI | 1316390420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005892) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102187) |
| 221700000X Art Therapist (Licence: VA 0701005892) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-10-19 |