| NPI | 1699393439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18805) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 14-207) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |