| NPI | 1912378530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7548-125) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: MN 10728) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2019-10-22 |