| NPI | 1891313185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11903599-6004) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 20-402) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-07-06 |