| NPI | 1801310859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12485) | 
| Additional Taxonomies | 225A00000X Music Therapist (Licence: MA 12025) | 
| Enumeration Date | 2017-08-01 | 
| Last Update Date | 2024-02-23 |