NPI | 1780205880 |
---|---|
Former Name | NICOLE PRIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6950-125) |
Additional Taxonomies | 221700000X Art Therapist (Licence: WI 17-222) |
Enumeration Date | 2020-04-29 |
Last Update Date | 2020-04-29 |