| NPI | 1780126888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82619) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: TX 19-376) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2025-10-06 |