| NPI | 1376369611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPCC.0022288) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |