| NPI | 1114420635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010322) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2018-03-17 |