| NPI | 1255830154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114726) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2025-04-10 |