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 |