| NPI | 1326895251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00643500) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: 1485) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |