| NPI | 1760014336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 4366-226) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-066) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |