| NPI | 1316738800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63897) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 06804) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-28 |