| NPI | 1942829833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.0070637612109) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 12-115) |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |