| NPI | 1538589254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0020849) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 24-107) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-06-23 |