| NPI | 1376829622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LCMHC21272) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: ATR-BC12-090) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC8153) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2025-09-15 |