| NPI | 1437521663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC5463) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: CA BCDMT1302) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2025-10-21 |