| NPI | 1558181701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930833) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 15227) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |