| NPI | 1023462751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001884) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 001884) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2024-08-05 |