| NPI | 1316689755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC9784) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: IL R-DMT-2067) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |