| NPI | 1316367030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011417) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 10382) |
| 101YM0800X Counselor, Mental Health (Licence: PA 27793077) | |
| 221700000X Art Therapist (Licence: PA 18-050) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2021-09-13 |