| NPI | 1902209331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451022313) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2022-08-24 |