| NPI | 1790814473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 736) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NC 05036) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-02-29 |