| NPI | 1891210100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83268) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: TX 18335) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2023-12-05 |