| NPI | 1134222375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 000202-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000634-1) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |