| NPI | 1932746948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225600000X Dance Therapist (Licence: NY 002214) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111308-01) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2021-08-04 |