| NPI | 1912221128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225A00000X Music Therapist (Licence: 08823) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225800000X Recreation Therapist | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2020-06-16 |