| NPI | 1396465357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 11871401) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 002350) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-09-03 |