| NPI | 1073107504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009828) |
| Additional Taxonomies | 225600000X Dance Therapist |
| 174H00000X Health Educator | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-06-19 |