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 |