| NPI | 1912491069 |
|---|---|
| Former Name | JULIA WIBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011302) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 17-264) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2021-07-20 |