| NPI | 1467132092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001590-01) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 001590-01) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-01-17 |