| NPI | 1124723903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00709000) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NJ 2711) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |