| NPI | 1124904800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 226000000X Recreational Therapist Assistant (Licence: UT 11565772-4003) |
| Additional Taxonomies | 226000000X Recreational Therapist Assistant |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |