| NPI | 1194125021 |
|---|---|
| Former Name | HEATHER MARIE VICENTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225A00000X Music Therapist (Licence: 13275) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-05327) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2022-01-22 |