| NPI | 1770305203 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101200000X Drama Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 176P00000X Funeral Director (Licence: TX 1780079319) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX 261QP0905X) | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |