| NPI | 1659010650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006037) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: BC-DMT-1053) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |