NPI | 1467789818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9429) |
Additional Taxonomies | 225A00000X Music Therapist |
225A00000X Music Therapist (Licence: 10122) | |
Enumeration Date | 2009-11-05 |
Last Update Date | 2022-05-18 |