| NPI | 1871357731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014710) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709024611) |
| 221700000X Art Therapist (Licence: VA 21-495) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-05-08 |