| NPI | 1649893173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XR0403X Occupational Therapist, Driving and Community Mobility | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |