| NPI | 1962390161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA APC001067) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: PA 24-831) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |