| NPI | 1942362801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 06204) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: OR 14603) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-11-03 |