| NPI | 1053990382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018223) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-02-19 |