| NPI | 1760193346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 9322) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 21-088) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-09-08 |