| NPI | 1679176515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0017549) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0017930) |
| 221700000X Art Therapist (Licence: NY 002488-01) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-01-31 |