| NPI | 1538793112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00712700) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 16-371) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |