| NPI | 1609042043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: NC 000966) |
| Additional Taxonomies | 101Y00000X Counselor |
| 174400000X Specialist | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2009-03-25 |