| NPI | 1780273656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 704010367) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-567) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2022-03-11 |