| NPI | 1255936845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010668) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: PA BC-DMT-1222) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |