| NPI | 1912364126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: MN 17-478) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3419) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2020-11-10 |