| NPI | 1891042354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404039) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: MI 10402) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-01-26 |