| NPI | 1033727128 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PCO16736) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 12781) |
| 225A00000X Music Therapist (Licence: CT MUS.000041) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2024-08-28 |