| NPI | 1073389508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 002899) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002899) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-02-26 |