| NPI | 1942418637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003407) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 001327) |
| 102L00000X Psychoanalyst (Licence: NY 000074) | |
| 225600000X Dance Therapist (Licence: NY 000498) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-11-30 |