| NPI | 1104101310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC8233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI LPC10289) |
| 225600000X Dance Therapist (Licence: BCDMT1207) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2024-02-18 |