| NPI | 1841347861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000174) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: NY 000253) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |