| NPI | 1578445052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS 04759) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 01785) |
| 221700000X Art Therapist (Licence: 24-516) | |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |