| NPI | 1235507211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000057) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000057) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2022-01-12 |