| NPI | 1922416049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF74644) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MD R-DMT-1937) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2015-09-17 |