| NPI | 1598708273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3453) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: 29912) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-08-15 |