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 |