| NPI | 1902672140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10001287) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MA 2663) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-12-02 |