| NPI | 1609268036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD ATC044) |
| 221700000X Art Therapist (Licence: ATC044) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-01-18 |