| NPI | 1740881663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH23052) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002514) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2024-05-15 |