| NPI | 1609018324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: MI 23759) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: MI 1433) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |