| NPI | 1871076190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60984772) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: FL 10304) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-03-01 |