| NPI | 1790270049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7126-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16281-131) |
| 221700000X Art Therapist (Licence: WI 121-36) | |
| 101YP2500X Counselor, Professional (Licence: IL 178009221) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2026-06-03 |