| NPI | 1447919337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.005239) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 04-067) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |