| NPI | 1689301699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24429) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-09-16 |