| NPI | 1376258509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NJ 16LP00011900) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000101) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-03-22 |