| NPI | 1356996557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 002505) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC013586) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-08-10 |