| NPI | 1144677576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011552) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0002735) |
| 225A00000X Music Therapist (Licence: 08395) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-06-07 |