| NPI | 1891538526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C8322) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MA LMHC4648) |
| 101YP2500X Counselor Professional (Licence: OR C8322) | |
| 221700000X Art Therapist (Licence: OR C8322) | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-07-08 |