| NPI | 1952704421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 057918) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 001749) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2022-01-03 |