| NPI | 1922692151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 15539) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2022-08-08 |