| NPI | 1407503907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018355) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 24-629) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2025-03-23 |