| NPI | 1477447662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 5037) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 23-348) |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-07-29 |