| NPI | 1215533013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH19858) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39003805A) |
| 225A00000X Music Therapist (Licence: 10246) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2021-12-18 |