| NPI | 1871241562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: MA 21-405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12883) |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2022-07-29 |