| NPI | 1053117143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 89630) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 12694) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |