| NPI | 1962526079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00347600) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000094) |
| 221700000X Art Therapist (Licence: NJ 37PC00347600) | |
| 221700000X Art Therapist (Licence: NJ LCAT000094) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-01-18 |