| NPI | 1265761258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 007920) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001617) |
| 221700000X Art Therapist (Licence: 08-011) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2014-12-05 |