| NPI | 1891978243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NJ 16LP00010600) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-13-13664) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2022-10-13 |