| NPI | 1811564552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY 261323) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 246581) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-12-07 |