| NPI | 1376052787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 74921) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13294) |
| 221700000X Art Therapist (Licence: TX 74921) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-06-17 |