| NPI | 1609376524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701010033) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2021-07-12 |