| NPI | 1205965472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 023550-01) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000719-1) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-11-23 |