| NPI | 1467061226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A14813) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A14813) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 221700000X Art Therapist (Licence: 19-055) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-03-10 |