| NPI | 1942779343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8417) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002270-1) |
| 221700000X Art Therapist (Licence: OR ART-C-10220636) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-01-28 |