| NPI | 1427655349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7971-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 2508) |
| 101YP2500X Counselor, Professional (Licence: MO 2017034844) | |
| 221700000X Art Therapist (Licence: WI 138-36) | |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2023-05-02 |