| NPI | 1275011090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NJ 16LP00027000) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-03-08 |