| NPI | 1649865809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903004767) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2026-06-22 |