| NPI | 1245028042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: WA RE61683156) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RE61683156) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |