| NPI | 1922798537 |
|---|---|
| Former Name | NICOLE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: 21-545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 3689) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-11-10 |