NPI | 1023561636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00698900) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 14-104) |
Enumeration Date | 2016-07-31 |
Last Update Date | 2019-11-13 |