| NPI | 1124790415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ELIZABETH DESOUSA Art Therapist, Co Owner 904-520-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 221700000X Art Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |