NPI | 1578007530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA R203614) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
225600000X Dance Therapist | |
225A00000X Music Therapist | |
Enumeration Date | 2016-12-10 |
Last Update Date | 2016-12-10 |