| NPI | 1083819494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC0062) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MD LC0062) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2016-12-27 |