| NPI | 1881172344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 1418) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: CA 1157) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |