| NPI | 1013329200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003509) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007420) |
| 221700000X Art Therapist | |
| 221700000X Art Therapist (Licence: MD ATC085) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-01-05 |