| NPI | 1508135948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00382) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 52-036) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2013-08-05 |