| NPI | 1922312537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014050) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001348) |
| 225A00000X Music Therapist (Licence: NY 001348) | |
| 225A00000X Music Therapist (Licence: 07610) | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2018-04-24 |