| NPI | 1952991622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8038) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-19093) |
| 221700000X Art Therapist (Licence: AZ 18-106) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2022-09-12 |