| NPI | 1376019612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC010625) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: PA 11386) |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2018-10-14 |