The Minchiate Tarot extends the usual Tarot decks by including cards that represent the astrological houses, four elements and additional trump cards. The deck consist of 97 cards (rather than the traditional 72 card deck).
The Ancient Minchiate Etruria Tarot has 41 Major Arcana cards. It does not have a high priestess.
This rare form of Tarot is the product of the Italian Renaissance, and, after being relatively obscure for the last two centuries, is rapidly gathering users in our time.
See Rider-Waite Deck