| NPI | 1912688409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH28687) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2026-02-10 |