| NPI | 1508985748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003080) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000948) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |