| NPI | 1578174637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: PA 44565) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: PA 5432) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |