| NPI | 1184172561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 12680) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NY 12680) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2022-12-07 |