| NPI | 1801544192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC013926) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: PA R-DMT-2445) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |