NPI | 1053793828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001510) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001510) |
101YP2500X Counselor, Professional (Licence: TX 90363) | |
221700000X Art Therapist (Licence: NJ 16LP00016500) | |
Enumeration Date | 2015-06-29 |
Last Update Date | 2022-12-14 |