| NPI | 1043882889 |
|---|---|
| Former Name | MIKAYLA POWLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-08-21 |