| NPI | 1386029171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R7857) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: OR 22-397) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2023-11-16 |