| NPI | 1649925454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A16735) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NC 15761) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |