| NPI | 1801299847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 001461) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: NY 09443) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 33429) | |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2025-09-11 |