| NPI | 1669090643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: CO LPC.0015537) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-05-30 |