| NPI | 1689869232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC 003293) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 05 000316) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-07 |