| NPI | 1124687215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225600000X Dance Therapist (Licence: 1564) |
| Additional Taxonomies | 174H00000X Health Educator |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |