NPI | 1326895251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00643500) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: 1485) |
Enumeration Date | 2024-04-30 |
Last Update Date | 2024-04-30 |