| NPI | 1942790746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 79511) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 17-423) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-08-14 |