| NPI | 1851921381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 10178806-6004) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 17-277) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-05-22 |