| NPI | 1346692506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011627) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002007) |
| 225A00000X Music Therapist (Licence: NY 002007) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2023-02-02 |