| NPI | 1376166678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11431) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MA 19-099) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-09-15 |