| NPI | 1720968605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704018497) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: VA 25-534) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-09 |