| NPI | 1548701428 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18239) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH15880) | 
| 221700000X Art Therapist (Licence: FL 18-022) | |
| Enumeration Date | 2017-03-13 | 
| Last Update Date | 2021-03-08 |