| NPI | 1316321185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6072) |
| 225A00000X Music Therapist (Licence: T-10177800) | |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2023-07-07 |