NPI | 1114611647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171400000X (Licence: IL 72593829) |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: IL 72593829) |
Enumeration Date | 2023-06-07 |
Last Update Date | 2023-06-07 |