| NPI | 1851267397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA POURANFAR Music Therapist 502-269-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |