| NPI | 1376228817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225A00000X Music Therapist (Licence: FL 08551) |
| Additional Taxonomies | 171W00000X Contractor |
| 106S00000X Behavior Technician (Licence: FL RBT-23-278368) | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-10-15 |