| NPI | 1104596220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 111985-01) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 0511198501) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |