| NPI | 1740897685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP10796) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATG269) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |