| NPI | 1487226544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019326) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: PA 11899) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |