| NPI | 1184244097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014466) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002672) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-09-05 |