| NPI | 1104501386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008054) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 11-238) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |