| NPI | 1295885887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 18 001904) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 05 000849) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-05-19 |