| NPI | 1114542040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013734) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-487) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-10-25 |