| NPI | 1770790131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 05 000467) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 05 000467) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-07-02 |