| NPI | 1588448138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN CC03967) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MN 21-388) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-09-06 |