NPI | 1477910388 |
---|---|
Other Name | TRACI BITONDO-STENAVAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00575700) |
Additional Taxonomies | 221700000X Art Therapist (Licence: 15098) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2017-01-12 |