| NPI | 1417656968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: CT 0061) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 5393) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |