| NPI | 1346028008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LGP15008) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 23-316) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-04-17 |