NPI | 1558018515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011261) |
Additional Taxonomies | 221700000X Art Therapist (Licence: VA 19-488) |
Enumeration Date | 2022-03-09 |
Last Update Date | 2023-06-30 |