| NPI | 1902213077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077823-1) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000245-1) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-08-05 |