| NPI | 1053988865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PCO11160) |
| Additional Taxonomies | 102X00000X Poetry Therapist (Licence: PA PCO11160) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |