| NPI | 1821695172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10789-125) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: WI 2399) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2024-10-03 |