| NPI | 1124526587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225600000X Dance Therapist (Licence: CA R-DMT-2323) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 247200000X Technician, Other | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |