| NPI | 1659831188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: FL 23-474) |
| Additional Taxonomies | 171W00000X Contractor |
| 101YM0800X Counselor, Mental Health (Licence: FL 25038) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-11-03 |