| NPI | 1336989532 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: IL 23-508) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 178.020049) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |