| NPI | 1366093072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 267462) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 252714) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2021-03-09 |