| NPI | 1255731642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P013642) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: NC 2108) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-06-27 |