| NPI | 1174031561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 129763) |
| Additional Taxonomies | 221700000X Art Therapist |
| 101YP2500X Counselor, Professional (Licence: IL 178.004356) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2025-09-04 |