| NPI | 1003687278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-10701) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |