| NPI | 1336657782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9028) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 9028) |
| 225A00000X Music Therapist (Licence: 06502) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2021-05-03 |