| NPI | 1700429107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC011103) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 17-309) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |