| NPI | 1417481607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99286) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: R-DMT-2123) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2021-08-15 |