| NPI | 1417507914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701011280) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2025-08-07 |