| NPI | 1124895610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC016540) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC016540) |
| 221700000X Art Therapist (Licence: 23-096) | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-03-27 |