| NPI | 1306332929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 4156) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2019-12-11 |