| NPI | 1194965095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023034) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW023034) |
| 101YP2500X Counselor, Professional (Licence: PA CW023034) | |
| 221700000X Art Therapist (Licence: PA CW023034) | |
| 101YP2500X Counselor, Professional (Licence: NY 44SL055115) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2022-12-18 |