| NPI | 1083014005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12119) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225A00000X Music Therapist (Licence: MA 11666) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2021-09-21 |