| NPI | 1669142337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014465) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-02-12 |