| NPI | 1104028760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 000408) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000408) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-21 |