| NPI | 1073018057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NJ 16LP00004000) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 08-158) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-01-18 |