| NPI | 1538880315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 225600000X Dance Therapist | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-05-02 |