| 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 |