| NPI | 1467766857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 62502) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 05297) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |