| NPI | 1578281564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 04676-T) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-09-18 |