NPI | 1588238240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 004770) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: BC-DMT-1480) |
Enumeration Date | 2021-05-18 |
Last Update Date | 2023-09-19 |