| NPI | 1154195998 |
|---|---|
| Former Name | DANA LEAH ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007049) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 10-063) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-01-22 |