NPI | 1558964908 |
---|---|
Former Name | NATIYA M REGGANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180013750) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: IL 180013750) |
Enumeration Date | 2020-11-18 |
Last Update Date | 2022-10-13 |