| NPI | 1235454596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 5149250-3502) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: UT 5149250-4002) |
| 225800000X Recreation Therapist (Licence: UT 53572) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2020-10-05 |