| NPI | 1649928599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451024653) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: MI 17145) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2025-10-01 |