NPI | 1205305844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00781900) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 16LP00005500) |
Enumeration Date | 2018-11-13 |
Last Update Date | 2023-03-15 |