NPI | 1114414471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.010089) |
Additional Taxonomies | 221700000X Art Therapist (Licence: IL 15-032) |
Enumeration Date | 2018-04-21 |
Last Update Date | 2022-07-04 |