| NPI | 1760053508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME XL5377) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 12048) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |