NPI | 1083819494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC0062) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: MD LC0062) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2016-12-27 |