| NPI | 1740351238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010994) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000148) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-05-01 |