NPI | 1093155426 |
---|---|
Former Name | SAIRALYN ANSANO THONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001658) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-06-29 |
Last Update Date | 2013-12-10 |