| NPI | 1811538408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11830-MH-CC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 221700000X Art Therapist | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-05-15 |