| NPI | 1528665148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: LA 09750) |
| 101YP2500X Counselor, Professional (Licence: TN 5001) | |
| 225C00000X Rehabilitation Counselor (Licence: LA 405805) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2024-01-23 |