| NPI | 1992172936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 05 001789) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 05 001789) |
| 225A00000X Music Therapist (Licence: NY 05 001789) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |