| NPI | 1942876859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6362009427) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-01-18 |