NPI | 1225243108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00334400) |
Additional Taxonomies | 225A00000X Music Therapist (Licence: 06104) |
Enumeration Date | 2007-05-13 |
Last Update Date | 2020-04-06 |