| NPI | 1073138194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178016509) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: IL R-DMT-2538) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-10-04 |