| NPI | 1568039964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: OH ART.24000021) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.001169) |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2024-10-17 |