| NPI | 1023269180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: IL 92-128) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 11579) |
| 101YS0200X Counselor School (Licence: IL 0459) | |
| 221700000X Art Therapist (Licence: TX 11579) | |
| 221700000X Art Therapist | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2021-05-25 |