| NPI | 1255839882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0106321) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: R-DMT-2287) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |