| NPI | 1700378841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001808) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 016908) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-10-20 |