NPI | 1649753153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007374) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NY 001228) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-09-11 |