| NPI | 1679235287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11977) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC430) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2026-07-10 |