| NPI | 1245828763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2021-01-10 |