NPI | 1619590916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0017243) |
Additional Taxonomies | 221700000X Art Therapist (Licence: CO ATR-P19-532) |
Enumeration Date | 2020-05-20 |
Last Update Date | 2020-05-20 |