| NPI | 1811636392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81172) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-057) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-10-15 |