| NPI | 1386233070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC015540) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 21-002) |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2023-09-17 |