| NPI | 1356882922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC011953) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-041) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2024-03-04 |