| NPI | 1356014161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc02881) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306041) |
| 225A00000X Music Therapist (Licence: 09351) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |