| NPI | 1316760143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10995-125) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: WI 18-37) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |