| NPI | 1912603861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL AYLSWORTH Owner/Operator 225-572-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-03-11 |