| NPI | 1811713084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704017561) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 19218) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |