| NPI | 1063284255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC015700) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: PA R-DMT-2622) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-12-29 |