| NPI | 1699549337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7523226) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 23-290) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |