| NPI | 1780286088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 002452) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0016675) |
| 101YM0800X Counselor Mental Health (Licence: ME CC6353) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-02-13 |