| NPI | 1033276001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 077035) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000144) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-08-08 |