NPI | 1245540855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001268-1) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 18280) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2020-02-25 |