| NPI | 1487470506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA APC000391) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 23-413) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |