| NPI | 1770775165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC012367) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-05-19 |