| 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 |