| NPI | 1700360500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8350) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 13235) |
| 221700000X Art Therapist (Licence: MA 13-130) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-07-22 |