| NPI | 1316003080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: CA 4036-T) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 4036-T) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-06-28 |