NPI | 1124514849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008736) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 30984) |
225600000X Dance Therapist (Licence: MD 2040) | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2018-07-05 |