| NPI | 1457954901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61194196) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002456) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2022-08-08 |