| NPI | 1265950752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6352000248) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2020-12-04 |