| NPI | 1356745582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2037) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2019-08-12 |