| NPI | 1902431851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0015328) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: R-DMT-2205) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-10-31 |