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 | 2022-08-19 |