| NPI | 1578007530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA R203614) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |