| NPI | 1952137804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA APC000498) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: 2871) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-10-25 |