NPI | 1598948242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD lpc-mh30533) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 473) |
221700000X Art Therapist | |
Enumeration Date | 2007-12-17 |
Last Update Date | 2018-09-13 |