| NPI | 1376252064 |
|---|---|
| Former Name | ABIGAIL GRYBOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 117095) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 22383) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |