NPI | 1659951093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.013746) |
Additional Taxonomies | 221700000X Art Therapist (Licence: IL 18-372) |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-04-09 |