| NPI | 1497767305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012870) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000066) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-12-13 |