| NPI | 1366007882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009899) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 16-143) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |