| NPI | 1114301512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC010367) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 28 381 136) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-01-08 |