NPI | 1619360237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00635400) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 16LP00017600) |
221700000X Art Therapist (Licence: NJ 12-077) | |
101YP2500X Counselor, Professional (Licence: PA PC006896) | |
Enumeration Date | 2015-03-05 |
Last Update Date | 2024-04-18 |