| NPI | 1497305445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011197) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 18-222) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2023-10-27 |