| NPI | 1912573494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178017147) |
| 225600000X Dance Therapist (Licence: IL R-DMT-2623) | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-07-16 |