| NPI | 1184244550 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00697500) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 17-525) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2025-02-10 |