| NPI | 1083272439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 002468) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NY 002468) |
| 225A00000X Music Therapist | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2022-12-08 |