| NPI | 1427887355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 100002784) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: 2779) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2026-03-12 |