NPI | 1891368510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10003206) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
225A00000X Music Therapist | |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-11-13 |