| NPI | 1548721210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: CA 85131) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-01-09 |