| NPI | 1003265414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025690) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 001161-1) |
| 221700000X Art Therapist (Licence: NY 001161-1) | |
| 246ZA2600X Specialist/Technologist, Other, Art, Medical (Licence: NY 001161-1) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-05-19 |