| NPI | 1538703574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8977044-6004) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |