| NPI | 1356607915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 23622) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NC 10170) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2020-06-29 |