| NPI | 1609445667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 12543-MH-CC) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002553) |
| 225600000X Dance Therapist (Licence: NY 002553) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-09-01 |