| NPI | 1821743873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002058) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225600000X Dance Therapist | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |