| NPI | 1013651850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011406) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-12-11 |