| NPI | 1730790387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: DC 82897) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NV 28181) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |