| NPI | 1093460966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14633) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 8285) |
| 225A00000X Music Therapist (Licence: 17253) | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2025-09-08 |