NPI | 1033740071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.012974) |
Additional Taxonomies | 221700000X Art Therapist (Licence: IL 18-356) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2020-10-01 |