| NPI | 1134889504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225600000X Dance Therapist |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |