| NPI | 1629244934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3324) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MD 2000-DTR-1207) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2016-09-08 |