| NPI | 1952163503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704016575) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |