| NPI | 1396334272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0224321) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NM 23-436) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-08-19 |