NPI | 1609693621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014736) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: IL BC-DMT-1367) |
Enumeration Date | 2024-09-21 |
Last Update Date | 2024-09-21 |