| NPI | 1316678154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH21711) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180014557) |
| 221700000X Art Therapist (Licence: 22-197) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-05-16 |