| NPI | 1033733993 |
|---|---|
| Former Name | JANIS ROESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401008420) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 03238) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |