NPI | 1316446438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013474) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: R-DMT-2200) |
Enumeration Date | 2018-02-04 |
Last Update Date | 2018-03-17 |