| NPI | 1730729302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7083-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18862-130) |
| 221700000X Art Therapist (Licence: WI 18-141) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-14 |