| NPI | 1952173361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451023213) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MI 23-405) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |