| NPI | 1316563372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 269904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 173595) |
| 221700000X Art Therapist (Licence: KY 173562) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2022-11-07 |