| NPI | 1669135638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0704015708) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 16945) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-10-06 |