| NPI | 1992909253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 0700015) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY LCAT000015) |
| 1041C0700X Social Worker, Clinical (Licence: NY LCSW075860) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2010-02-16 |