| NPI | 1154717429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2877) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MN 14096) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-05-08 |