| NPI | 1407881451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC001921) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-12-28 |