| NPI | 1740893957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 221700000X Art Therapist | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-12-15 |