| NPI | 1710709555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018300) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: 1557) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-03-11 |