| NPI | 1710625173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R8036) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: OR MT-T-10221241) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-11-28 |