| NPI | 1790200798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 002210) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 12127) |
| 225A00000X Music Therapist (Licence: NY 002210) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-10-21 |