| NPI | 1205356656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |