| NPI | 1417453408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRBY L GILLIAM Owner/Music Therapist 765-278-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225A00000X Music Therapist (Licence: IN 12643) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |