| NPI | 1306535992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225A00000X Music Therapist (Licence: NY 002698) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 16029) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |