| NPI | 1306438338 |
|---|---|
| Former Name | ALEXANDRIA MARIE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 002067) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 002067) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |