| NPI | 1689389538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00129100) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 002635) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |