| NPI | 1538818935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11333) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 21-138) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |