| NPI | 1477147569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01514) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MN 11-044) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2026-04-06 |