| NPI | 1134886476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY P112993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13071) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-08-12 |