| NPI | 1225676539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009878) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 17-397) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |