| NPI | 1346547171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-5678) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC - 4675) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC - 4675) | |
| 101YP2500X Counselor, Professional (Licence: ID LPC - 4675) | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2023-12-04 |