| NPI | 1033800065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MA R-DMT-2776) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |