| NPI | 1245787506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011239) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 16-069) |
| 101YP2500X Counselor, Professional (Licence: IL 178012176) | |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2017-11-28 |