| NPI | 1861032385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: IL 18-201) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.015428) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |