| NPI | 1699190793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC0007426) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000355-1) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |