| NPI | 1992235576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 173535) |
| 221700000X Art Therapist (Licence: KY 262144) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-09-08 |