NPI | 1598270290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180015035) |
Additional Taxonomies | 101Y00000X Counselor (Licence: 180.015035) |
221700000X Art Therapist (Licence: 20-239) | |
Enumeration Date | 2017-12-05 |
Last Update Date | 2024-05-13 |