| NPI | 1912413972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1706) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 16-076) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |