| NPI | 1952280828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC05704) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MA 3077) |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |