| NPI | 1962146068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5576) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CT 51) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-08-04 |