NPI | 1811541493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00730500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC5005) |
221700000X Art Therapist (Licence: NJ 16LP00008700) | |
Enumeration Date | 2019-07-31 |
Last Update Date | 2025-01-10 |