| NPI | 1912416421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC9508) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC260) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2025-11-03 |