| NPI | 1962610048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 18510) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000892-1) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |