| NPI | 1346028008 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP15008)  | 
| Additional Taxonomies | 221700000X Art Therapist (Licence: 23-316)  | 
| Enumeration Date | 2023-09-14 | 
| Last Update Date | 2024-11-05 |