| NPI | 1023583861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY LCAT-002348) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY R-DMT-2247) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-08-14 |