| NPI | 1285372565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI5233) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225600000X Dance Therapist (Licence: 2758) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-01-27 |