| NPI | 1922540772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: FL 15-006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17524) |
| 101YP2500X Counselor, Professional (Licence: PA PC008689) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2021-10-19 |