| NPI | 1467184002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 278489) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY 278489) |
| 221700000X Art Therapist (Licence: KY 278489) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-07-01 |