| NPI | 1104617166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A21397) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 17808) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |