| NPI | 1649723065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016376) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NY 09782) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-02-07 |