| NPI | 1114679032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4259) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MN 21-467) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-02-07 |