| NPI | 1548657471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A16063) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: WI 11797) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2020-10-03 |