| NPI | 1871067652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY 277581) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-76062) |
| 101Y00000X Counselor (Licence: KY 277581) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-08-23 |