| NPI | 1730725482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3772) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-345) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |