NPI | 1184193179 |
---|---|
Professional Name | MAURA CRISTIN REAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60885895) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: IL R-DMT-2346) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |