| NPI | 1881449395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013777) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 15580) |
| 221700000X Art Therapist (Licence: PA 19-573) | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |