| NPI | 1760027304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008639) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |