| NPI | 1962610717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083000) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000162) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-06-09 |