| NPI | 1518376581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4192) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: OR ART-C-10205600) |
| 101Y00000X Counselor (Licence: OR C4192) | |
| 101YP2500X Counselor, Professional (Licence: OR C4192) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2024-02-09 |