| NPI | 1720279839 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225600000X Dance Therapist (Licence: BC-DMT-915)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2007-08-05 | 
| Last Update Date | 2017-12-10 |