| NPI | 1154447225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS018106) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC008931) |
| 101YP2500X Counselor Professional (Licence: NJ 37PC00335900) | |
| 221700000X Art Therapist | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-04-28 |