| NPI | 1942923149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY P114846) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P114846) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-29 |