| NPI | 1851982177 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 221700000X Art Therapist (Licence: 17-140) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC010424) | 
| Enumeration Date | 2021-01-29 | 
| Last Update Date | 2021-01-29 |