| NPI | 1023194321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 11438) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 00855-1) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2007-07-08 |