| NPI | 1841995677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61620903) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 002623-01) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2025-07-25 |