| NPI | 1396266771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPCC.0014498) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: CO 2061) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2021-10-29 |