NPI | 1518588813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 221700000X Art Therapist (Licence: NM CAT0208121) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NY 002152) |
Enumeration Date | 2020-04-28 |
Last Update Date | 2022-11-17 |