| NPI | 1396238754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 002333) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 002333) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2025-07-02 |