| NPI | 1013555341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225600000X Dance Therapist (Licence: NY 001952) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |