| NPI | 1538987607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704017347) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: VA 24-802) |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |