| NPI | 1518558584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010217) | 
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 16-204) | 
| Enumeration Date | 2021-02-01 | 
| Last Update Date | 2025-10-22 |