| NPI | 1811309420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001704) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0023077) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2026-01-23 |