| NPI | 1740867761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.013390) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 19-298) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-04-17 |