| NPI | 1417778267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 226000000X Recreational Therapist Assistant (Licence: MI 82547) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: MI 82547) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |