| NPI | 1598233314 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7754) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 221700000X Art Therapist | |
| Enumeration Date | 2018-11-09 | 
| Last Update Date | 2024-01-31 |