| NPI | 1659992907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: PA 17-132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC012189) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |