NPI | 1063284255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015700) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: PA R-DMT-2622) |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-12-29 |