| NPI | 1255530176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020871) |
| Additional Taxonomies | 103T00000X Psychologist |
| 221700000X Art Therapist (Licence: NY 000662) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-08-10 |