| NPI | 1669097424 |
|---|---|
| Former Name | SUSAN BRAY WESLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME CC1874) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NY 001851-1) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |