| NPI | 1619668241 |
|---|---|
| Former Name | KATE MACK |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 001324) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 507636) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |