| NPI | 1205344025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084186) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000011) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |