| NPI | 1851705123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178018166) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225A00000X Music Therapist (Licence: IL 11259) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-06-27 |