| NPI | 1861267155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 92063) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 92063) |
| 101YM0800X Counselor, Mental Health (Licence: TX 92063) | |
| 225A00000X Music Therapist (Licence: 13860) | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |