| NPI | 1548632862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 22786) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: IL 11191) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2025-08-28 |