| NPI | 1023315710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 61066) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: VA 466-1986) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |