| NPI | 1558836197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60739235) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: LH60739235) | |
| 221700000X Art Therapist (Licence: NY 001264-1) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |