| NPI | 1083123574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225600000X Dance Therapist (Licence: R-DMT-2266) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-03-17 |