| NPI | 1972169209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011244) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 16-111) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |