NPI | 1982110169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA TBD) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012717) |
221700000X Art Therapist (Licence: 15-153) | |
Enumeration Date | 2017-12-25 |
Last Update Date | 2021-01-19 |