| NPI | 1740905983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 007938) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CT 96) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2025-03-31 |