| NPI | 1760982953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4680) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 12-248) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2023-11-06 |