| NPI | 1548817281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002733-1) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 000613-1) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-21 |