| NPI | 1346768579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101200000X Drama Therapist (Licence: NY 002522) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2021-09-16 |