| NPI | 1316197940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-11965) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: AZ 04260) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2011-05-10 |