| NPI | 1467090233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC11703) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9672) |
| 221700000X Art Therapist (Licence: MD ATG232) | |
| 221700000X Art Therapist (Licence: MD ATC300) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2022-04-05 |