| NPI | 1205582095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180015157) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178016691) |
| 225600000X Dance Therapist (Licence: IL BC-DMT-1408) | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-02-12 |