| NPI | 1710327697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00146500) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 37AC00146500) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-05-29 |