NPI | 1851780340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61235396) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60683335) |
221700000X Art Therapist (Licence: 21-460) | |
Enumeration Date | 2015-01-21 |
Last Update Date | 2022-06-23 |