NPI | 1386385672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013375) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: IL BC-DMT-1388) |
Enumeration Date | 2022-04-02 |
Last Update Date | 2022-04-02 |