| NPI | 1639883374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225600000X Dance Therapist (Licence: MA 12404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12404) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-03-11 |