| NPI | 1376189480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00721900) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 17-254) |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2021-02-03 |