| NPI | 1568731768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001073) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 001073) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2012-02-06 |