| NPI | 1194224626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19805) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014793) |
| 225600000X Dance Therapist (Licence: CO NLC.0106044) | |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2024-03-13 |