| NPI | 1881112415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008410) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: BC-DMT-1035) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-12 |