| NPI | 1649097338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10143) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: SC 24-693) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |