| NPI | 1114445129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851110741) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2024-03-25 |