| NPI | 1225321052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180010625) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: IL 1203) |
| 101Y00000X Counselor (Licence: 258132) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2018-04-06 |