| NPI | 1629000278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 000828) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 05 000828) |
| 221700000X Art Therapist | |
| 246ZA2600X Specialist/Technologist, Other Art, Medical (Licence: NY 05 000828) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-06-23 |