| NPI | 1629425442 |
|---|---|
| Former Name | DIANA LYNN GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016087) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: PA 10546) |
| Enumeration Date | 2016-05-22 |
| Last Update Date | 2024-04-25 |