| NPI | 1649504697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004112-1) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2016-08-04 |