NPI | 1871010397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00578200) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC4313) |
101YP2500X Counselor, Professional (Licence: PA PC007516) | |
225600000X Dance Therapist (Licence: BC-DMT-1130) | |
Enumeration Date | 2017-08-25 |
Last Update Date | 2022-07-21 |