| NPI | 1093022170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010104) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC010104) |
| 221700000X Art Therapist (Licence: NY 001276) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2023-12-04 |