| NPI | 1639823065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701011159) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC292) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2026-01-05 |