| NPI | 1811458532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9422) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC230) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2021-10-14 |