| NPI | 1164034401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00701200) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |