| NPI | 1790401339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: ATRP22455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61327714) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-12-08 |