NPI | 1073928685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225800000X Recreation Therapist (Licence: NC 3162) |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: NC 61211) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2014-06-23 |