| NPI | 1144838798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002302) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 002302-1) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-08-18 |