| NPI | 1689380651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC14620) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 13755) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-09-04 |