| NPI | 1649328022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: CA 2660-T) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |