| NPI | 1144437575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00138) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 514-7-1-04) |
| 221700000X Art Therapist (Licence: MN 05-037) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2024-05-21 |