| NPI | 1942046990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6451023571) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6451023571) |
| 225A00000X Music Therapist | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |