| NPI | 1700382173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018893) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 23-097) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-12-05 |