| NPI | 1073699146 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002112) | 
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000077) | 
| Enumeration Date | 2006-10-31 | 
| Last Update Date | 2025-09-11 |