| NPI | 1730721200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 5759) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: TN 13648) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-11-21 |