| NPI | 1922530641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.011985) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: IL BC-DMT-1288) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2019-05-27 |