| NPI | 1871110007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67373) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 11023) |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2022-03-22 |