| NPI | 1659951093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.013746) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 18-372) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |