| NPI | 1598227357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222742) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017671) |
| 225600000X Dance Therapist (Licence: 2273) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-05-12 |