| NPI | 1932974409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC12824) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: R-DMT-2757) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |