| NPI | 1164383766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 6298) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: CT 75) |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |