| NPI | 1124747597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |