| NPI | 1801506258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NJ 20267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00611500) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-12-09 |