| NPI | 1689345696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7543) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MA 2478) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-12-03 |