| NPI | 1053793828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001510) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001510) |
| 101YP2500X Counselor, Professional (Licence: TX 90363) | |
| 221700000X Art Therapist (Licence: NJ 16LP00016500) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-12-14 |