| NPI | 1134407299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5011) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 001409) |
| 225600000X Dance Therapist (Licence: OR BC-DMT-1131) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2024-03-29 |