NPI | 1922530641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011985) |
Additional Taxonomies | 225600000X Dance Therapist (Licence: IL BC-DMT-1288) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2019-05-27 |