| NPI | 1316446438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013474) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: R-DMT-2200) |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-03-17 |