| NPI | 1780846170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62238) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002820) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-20114) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 39003654A) | |
| 221700000X Art Therapist (Licence: WI 61036) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2022-08-08 |