| NPI | 1457169997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021430) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: 2735) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |