| 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 |