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 |