| NPI | 1871219998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 46.005881) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CT 22-290) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-10-30 |