| NPI | 1871244004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 018635) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CT 000104) |
| 101YM0800X Counselor, Mental Health (Licence: CT 010180) | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2026-09-26 |