NPI | 1033091640 |
---|---|
Other Name | LEXIE MARIE VICCHIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 221700000X Art Therapist (Licence: VA 25-165) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704017793) |
Enumeration Date | 2025-07-24 |
Last Update Date | 2025-08-11 |