| NPI | 1750571196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00328000) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000981) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2010-06-23 |