| NPI | 1063005221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123592) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 12123) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW024154) | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2025-03-27 |