| NPI | 1497483036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0001181) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: BC-DMT-888) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |