| NPI | 1457988321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD 15980) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 00080) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-03-11 |