| NPI | 1588909782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006605) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2013-03-07 |