| NPI | 1174355424 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 1780188851) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 178018851) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-16 |