NPI | 1154948149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC14139) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: CA BC-DMT-1520) |
Enumeration Date | 2020-06-25 |
Last Update Date | 2023-10-02 |