| NPI | 1770288409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015503) |
| Additional Taxonomies | 101Y00000X Counselor |
| 221700000X Art Therapist | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2025-03-12 |