| NPI | 1932675873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 240549) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 163684) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2023-08-21 |