| NPI | 1811563455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06984) |
| Additional Taxonomies | 103T00000X Psychologist |
| 221700000X Art Therapist | |
| 103T00000X Psychologist (Licence: CT 3383) | |
| 103T00000X Psychologist (Licence: CA 33593) | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2022-12-23 |