| NPI | 1346655024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6104) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14467) |
| 221700000X Art Therapist (Licence: MD ATC063) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2024-01-31 |