| NPI | 1003115460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007492) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.007492) |
| 221700000X Art Therapist (Licence: IL 08-230) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2022-10-31 |