| NPI | 1730891250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00543100) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NJ 21-045) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |