NPI | 1619070737 |
---|---|
Former Name | VALERIE ANNE WONSANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2262) |
Additional Taxonomies | 221700000X Art Therapist (Licence: CT 09-161) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2019-06-05 |