| NPI | 1881218063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001219) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 28071) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |