| NPI | 1700345204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC23951) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: AZ 14082) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-07-31 |