| NPI | 1700667375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: 1912409) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 1912409) |
| 405300000X Prevention Professional (Licence: TX 1912409) | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |