| NPI | 1649753534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KLINGINSMITH Owner 623-235-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225600000X Dance Therapist (Licence: AZ 611885971) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: AZ 611885971) |
| 373H00000X Day Training/Habilitation Specialist (Licence: AZ 611885971) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |