| NPI | 1669059929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021005573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 526) |
| 101YM0800X Counselor, Mental Health (Licence: MN 189) | |
| 221700000X Art Therapist (Licence: 190) | |
| 225A00000X Music Therapist (Licence: 08264) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |