| NPI | 1497144042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225A00000X Music Therapist |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IN 201270180A) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2022-06-22 |