| NPI | 1932746948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111308) |
| 225600000X Dance Therapist (Licence: NY 002214) | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-11-06 |