| NPI | 1386235687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002211) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 002211) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-08-25 |