NPI | 1457975179 |
---|---|
Former Name | TERESA HOELSWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012013) |
Additional Taxonomies | 221700000X Art Therapist (Licence: PA 17-070) |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |