| NPI | 1467010413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4390226) |
| 101YM0800X Counselor Mental Health (Licence: WI 8256-125) | |
| 221700000X Art Therapist | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-05-23 |