| NPI | 1043948920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225600000X Dance Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-23 |