NPI | 1437521663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC5463) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: CA BCDMT1302) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2024-02-09 |