| NPI | 1669061370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225600000X Dance Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 221700000X Art Therapist | |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-01-16 |