| NPI | 1124595400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80507) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2021-07-24 |