| NPI | 1235621889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC-4657) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: CA BC-DMT-1164) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |