| NPI | 1932136751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 1542) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: OK 00810) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-06 |