Individual
ANITA MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
95965
SC
246ZA2600X
Medical Art Specialist/Technologist
95965
SC
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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