| NPI | 1518589746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60926995) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 16-052) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |