| NPI | 1700368354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 002017-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 02017) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2022-02-02 |