| NPI | 1699664185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 11968-125) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: WI 5037) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-08-05 |