| NPI | 1336038348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0022470) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: CO R-DMT2887) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |