| NPI | 1053694653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17878) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: TX 04022) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |