| NPI | 1760160188 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451055887) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 23-002) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-03-26 |