| NPI | 1619730892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014790) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 23-532) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |