| NPI | 1326818659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: VA 83761) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: NC 4236) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-11 |