| NPI | 1437702990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 23362081201) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MI BC-DMT-1343) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-04-26 |