| NPI | 1083407746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: NC 1802) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: 55593) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |