NPI | 1457051435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00846900) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 16LP00009600) |
Enumeration Date | 2023-03-07 |
Last Update Date | 2023-05-02 |