| NPI | 1992660187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: PA 25-418) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA APC001699) |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |