| NPI | 1528953635 |
|---|---|
| Former Name | GINA PATRICA PANZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 98046) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 25-112) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |