| NPI | 1710485180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102162-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| 221700000X Art Therapist | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-10-13 |