NPI | 1467344747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010132) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2469162) |
225600000X Dance Therapist (Licence: IL R-DMT-1840) | |
Enumeration Date | 2025-07-19 |
Last Update Date | 2025-07-19 |