| NPI | 1124502927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11978) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-06-13 |