| NPI | 1740062066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc03173) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MN cc03173) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-11-09 |