NPI | 1649960949 |
---|---|
Former Name | ASHLEY ROSE MORETTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00943800) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 16LP00008300) |
Enumeration Date | 2023-05-10 |
Last Update Date | 2023-07-21 |