| NPI | 1720315773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008238) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2013-06-04 |