| NPI | 1538941653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10003358) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MA 22-469) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2025-10-20 |