| NPI | 1801480496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC012084) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 17-155) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |