| NPI | 1710116058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 000615-1) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 001230-1) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2017-08-22 |