| NPI | 1891456729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NM CTB-2024-0333) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM CMH0225531) |
| 101YM0800X Counselor Mental Health (Licence: NM T-CTL0221941) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-07-26 |