| NPI | 1982152096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 3803) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: CT 12576) |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2019-08-13 |