| NPI | 1396332342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.012233) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 178.012233) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2023-01-24 |