| NPI | 1386295673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225600000X Dance Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2023-12-07 |