NPI | 1154649713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225600000X Dance Therapist (Licence: ME R-DMT-1397) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ME XL3546) |
Enumeration Date | 2010-05-06 |
Last Update Date | 2010-05-06 |