| NPI | 1740013150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0019712) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 0001842) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 304418) | |
| 221700000X Art Therapist (Licence: 21191) | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |