| NPI | 1487119368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15415) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: DC 18-070) |
| 101YP2500X Counselor, Professional (Licence: VA 0701012929) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2025-06-16 |