| NPI | 1609693621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.014736) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: IL BC-DMT-1367) |
| Enumeration Date | 2024-09-21 |
| Last Update Date | 2024-09-21 |