| NPI | 1265016745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: 12-035) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00505200) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |