| 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 | 2021-08-25 |