| NPI | 1033800065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4497) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: R-DMT-2276) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-07-11 |