NPI | 1861240517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00731500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00731500) |
221700000X Art Therapist (Licence: 22-512) | |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-05-08 |