| NPI | 1194473835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 92793) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: TX 17214) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-04-06 |